Organization Active NPI

High Enterprises

Doing business as Abundant Life

  • Nutritionist
  • Las Vegas, NV
National Provider Identifier
1295118214
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
HIGH ENTERPRISES
Doing business as
Abundant Life
Practice address
8640 Castle Hill Ave
Las Vegas, NV 89129-7645
Phone
(702) 254-8721
Fax
(702) 254-8726
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ida Pearl Connors, H.C.
Title
Provider
Phone
(702) 254-8721

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 506 NV

Addresses

Primary practice location

8640 Castle Hill Ave
Las Vegas, NV 89129-7645

Mailing address

8640 Castle Hill Ave
Las Vegas, NV 89129-7645
Phone (702) 254-8721

Other identifiers 2

IdentifierTypeStateIssuer
1538553599OtherNPI
1356339626OtherNPI

Other names 1

  • Abundant Life Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1295118214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 CASTLE HILL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297645",
            "telephone_number": "702-254-8721",
            "fax_number": "702-254-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 CASTLE HILL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297645",
            "telephone_number": "702-254-8721",
            "fax_number": "702-254-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "IDA",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-254-8721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "H.C."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538553599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356339626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.